Provider Demographics
NPI:1023352424
Name:DAVE SHERWOOD FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:DAVE SHERWOOD FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LORAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-262-4370
Mailing Address - Street 1:570 PALOMINO TRL
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:CO
Mailing Address - Zip Code:81432-9215
Mailing Address - Country:US
Mailing Address - Phone:970-626-4370
Mailing Address - Fax:970-626-3442
Practice Address - Street 1:570 PALOMINO TRL
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:CO
Practice Address - Zip Code:81432-9215
Practice Address - Country:US
Practice Address - Phone:970-626-4370
Practice Address - Fax:970-626-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty